Comprehensive listing of available family planning and contraceptive types and methods in Nigeria with advantages, disadvantages and side effects of each family planning and contraceptive method.

INJECTABLE METHOD OF FAMILY PLANNING AND CONTRACEPTIVES IN NIGERIA

INJECTABLE METHOD OF FAMILY PLANNING AND CONTRACEPTIVES IN NIGERIA

Injectable
contraceptives contain one or two contraceptive hormones and provide
protection from pregnancy for one, two, or three months (depending on
the type) following an injection. About 61 percent of all women in
Nigeria who use modern contraceptive methods choose injectable
contraceptives. The most widely used injectable methods contain only a
progestin (POC) Less common methods are those that contain both
progestin and oestrogen Progestin-Only Injectable Contraceptives
(POICs).for eay chronologicl order injectable contracetive have bee
divided into;

Progestin only
Injectable Contraceptives or( POIC); The most widely used injectable method)

Combined
Injectable Contraceptives or (CIC); this method is not commonly used

Advantages of Injectable Contraceptives Contraceptive Benefits

Injectables as method of family planning and contraceptive have this advanteges:

They are highly effective and safe.

A pelvic exam is not required to initiate use.

They contain no
oestrogen, so they do not have the cardiac and blood-clotting effects,
which are associated with oestrogencontaining pills and injectables.

These are long-acting methods:35 each injection provides protection for two or three months, depending on the type.

Confidentiality asured

Non-contraceptive Health Benefits of injectable contraceptive

Amenorrhea, which might be benefi cial for women with (or at isk of) iron-deficiency anaemia

Decrease in sickle cell crises

Reduction of symptoms of endometriosis

Protection against endometrial cancer

Protection against uterine fi broids

Possible protection from symptomatic pelvic inflammatory diseases

Possible prevention of ectopic pregnancy

Side effect and limitations associated with Injectable a a method of family planning and contraeptions

• Return of fertility may be delayed for about four months or

longer after discontinuation.

• They offer no protection against STIs, including hepatitis B

and HIV; individuals at risk for these should use condoms in

addition to injectable contraceptives.

• This method is provider-based, so a woman must go to a health

care facility regularly.

Use of injectables could be associated with the following side minor effects:

– Menstrual changes, such as:

- irregular bleeding

- heavy and prolonged bleeding

- light spotting or bleeding

- amenorrhea, especially after one year of use

– Weight gain

– Headache

– Dizziness

– Mood swings

– Abdominal bloating

– Decrease in sex drive

Eligibility for Using Injectable family planning and Contraceptives method

Injectable
contraceptives are safe and appropriate for the majority of women.
Other women might use them with additional monitoring or care; and a few
women should not use injectable contraceptives at all, or only in very
limited circumstances.

Women Who Can Use Injectables without Restrictions

Both progestin only
Injectable Contraceptives( POIC) andCombined
Injectable Contraceptives (COIC) are acceptable for all women between theages of 18-45 with established menses who fall in the folloing categorie

History of DVT or
PE, current DVT or PE and established on anticoagulant therapy, known
thrombogenic mutations and hyperlipidaemias, or major surgery with
prolonged immobilization.

SLE with negative
antiphospholipid antibodies, on immunosuppressive treatment and those
without severe thrombocytopenia. If a woman has positive or unknown
antiphospholipid antibodies, she would not be injected

History of hypertension, adequately controlled BP, or BP between 140/90 and 159/99.